Emiroglu presentation at 24 BSPC

InternationalCooperation on HealthDr Nedret EmirogluSpecial Representative of the RegionalDirector on MDGs and GovernanceThe 24th Baltic Sea Parliamentary Conference30 August – 1 September 2015Overview• International Frameworks European Health Policy Framework: Health 2020 International Health Regulations Global Antimicrobial Resistance Action Plan• Post 2015 Development AgendaWhat is Health 2020?Health 2020 is a value-basedaction-oriented policyframework.Health 2020 aims to engageministers and policy-makersacross government/s andstakeholders throughoutsociety to contribute to healthand well-being.Health 2020: strategic objectivesWorking to improve health Improving leadership, andfor all and reducing participatory governancethe health divide for healthHealth 2020: four common policy priorities for healthStrengtheningpeople-centredInvesting in Tackling Europe’shealth systems,health through a major health Creating resilientpublic healthlife-course challenges: NCDs communitiescapacities andapproach and and and supportiveemergencyempowering communicable environmentspreparedness,people diseasessurveillance andresponseHealth 2020 targets1. Reduce premature mortality2. Increase life expectancy3. Reduce inequities4. Enhance well-being5. Achieve universal health coverage6. Establish national targets set by Member StatesHealth 2020 lays the foundation for ahealthier European Region“So many factors affect health, and health has an impact on so manyareas of our lives that progress on public health can only comefrom whole-of-society and whole-of-government efforts.That is why there is a role for everyone to play in implementingHealth 2020, from prime ministers, to civil society, to citizens.”– Zsuzsanna Jakab, WHO Regional Director for EuropeInternational Health Regulations (2005)“ to prevent, protect against, control and provide apublic health response to the international spread ofdisease in ways that are commensurate with andrestricted to public health risks, and which avoidunnecessary interference withinternational traffic and trade" (Article 2)IHR (2005) in the WHO European Region► 55 States Parties (includes Holy See and Lichtenstein which arenot WHO Member States)► Entered into force on 15 June 2007► Legally bindingStates Parties having Joined after 15 June2007: Montenegro, 05 Feb. 2008 Liechtenstein, 28 Mar. 2012Two main areas for implementation► Global and regional "event" management Global information sharing system Coordination of international response► National core capacity requirements National surveillance and response systems Capacity at points of entry(Ports, airports, ground crossings)The antibiotic era• Many antibiotics/antimicrobials developed• Many millions of lives saved• Complications of medicalinterventions avoided• Life expectancy dramaticallyincreased• More productive livestockAntibiotic resistance• A natural phenomenon• Accelerated by misuse of antibiotics• Claims lives, costs money, affects livelihoods, undermineshealth programmes• Few new antibiotics inthe pipeline• Threatens a return to apre-antibiotic eraGlobal AMR Action PlanAdopted at World Health Assembly (May 2015)Guiding principles:• Whole-of-society engagement• Actions based on best availableknowledge and evidence• Prevention first• Access not excess• Sustainability• Incremental targets for implementationFrom the MDGs tothe Post-2015 Agenda• Outcome Document: Finalized text foradoption at the UN Summit on 25-27September 2015Transforming Our World:The 2030 Agenda forSustainable DevelopmentSix Essential Elements andEmerging Principles• National Ownership• Inclusive and participatory• Universality• Leaving no one behind• Human rights-based• Integrated approach17Sustainable Development GoalsHealth Goal (3)“Ensure healthy lives and promotewellbeing for all at all ages”Targets include: the unfinished health MDGs (child and women’shealth and communicable diseases) emerging global health priorities (likeNoncommunicable diseases) universal health coverage and broaderdeterminants of healthHealth as a Goal (3)and Health as Target in other GoalsRegional ConsultationInclusive and Sustainable Development:Perspectives from Europe and Central Asiaon Post-2015 Development AgendaAny goal for health should aim also to address new challengesand maximize healthy life expectancy, with universal healthcoverage as a key instrument.Taking a life-course approach – addressing the social, economicand environmental determinants of health – will be crucial.Health 2020 will prepare the ground for implementing this newvision in the Region.Thank you